Southtowne Urgent Care LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

R5F63 Issued in MO

Legal business name

SOUTHTOWNE URGENT CARE LLC

Practice address

180 Mall Rd
Suite H
Hollister, MO 65672-9602

Phone

(417) 336-5161

Fax

(417) 336-0242

NPI assigned

Jul 1, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Brian Teeter, M.D.NPI 1346285590

Title

Officer

Phone

(417) 336-5161

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Brian H Teeter, MD

  • Emergency Medicine Physician
  • Ozark, MO
  • NPI 1346285590
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124057112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 MALL RD",
            "address_2": "SUITE H",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656729602",
            "telephone_number": "417-336-5161",
            "fax_number": "417-336-0242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 MALL RD",
            "address_2": "SUITE H",
            "city": "HOLLISTER",
            "state": "MO",
            "postal_code": "656729602",
            "telephone_number": "417-336-5161",
            "fax_number": "417-336-0242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHTOWNE URGENT CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEETER",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "417-336-5161",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "MO",
            "license": "R5F63",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinic/Center in Hollister, MO
• Providers in Hollister, MO by specialty
• Clinic/Center in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.